Individual
MR. BEDE CHIDI IHUOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2520 AVALON PL, HYATTSVILLE, MD 20783-2745
(301) 806-0718
Mailing address
7506 GEORGIA AVE NW, NW, WASHINGTON, DC 20012-1608
(202) 291-6973
(202) 291-7081
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1005092
DC
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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